What will fix my open bite anterior? Invisalign or Braces? (Photo)

Question

I have an open bite anterior and have gotten two different treatment plans from two different orthodontist. I was told first that Invisalign should correct my open bite and it will take about a year. But a second orthodontist is telling me that Invisalign will not close it properly and that I need actual braces to fix the problem. Can someone please look at the photos and tell me what to do?

Ira Shapira, DDS · Answer

The anterior open bit is a result of the underdeveloped maxilla that crowds the tongue and creates a small airway.  Orthodontics (standard) and Invisalign will not correct underlying cause and will likely relapse.  Amputating 4 teeth (four on the Floor) is the worst possible choice as it will decrease airway and can lead to horrendous lifetime issues.
Ideally, expansion should have been done between ages of 3-6 but by 8 years old at the latest!
Adults need to correct the real issue prior to trying to close the open bite.  Epigenetic Orthopedics is an excellent non-surgical method of growing the airway and correcting underlying issues.  AGE IS NOT AN ISSUE WITH DNA AND/OR MRNA APPLIANCES.

The main downside to Epigenetic Orthopedics is that it is a bulky appliance that needs to be worn 14-16 hours/ daY  IF YOU ARE NOT GOING TO BE ABLE TO DEAL WITH THAT DO NOT DO DNA APPLIANCES.

There are surgical approaches including SARPE, Marpe, and orthognathic surgery,

The DNA and MRNA Appliances by Vivos are now also FDA approved for treating sleep apnea and less severe issues like snoring and UARS

Raj Kumar, BDS, LDSRCS · Answer

An open bite can occur for many reasons, skeletal, thumb sucking, tongue thrust etc.The upper teeth get pushed up and the lowers down.Any orthodontic system can close the open bite but in some cases actually doing so may make the upper or lower teeth show too much. Normally up to 4mm of tooth should show at rest, but closing the open bite can create too much tooth visibility.My advice would be that if you are wanting to close the open bite and are happy with long teeth then closing it would be fine. If however you show too much tooth then pulling in the teeth and making them flat and nearly closing the bite should be fine.Either system will do in the right hands

Robert L. Knudson, DDS · Answer

Invisalign will work just fine.  The important part of your treatment will be keeping the teeth in position after completion.  You will be a "retainer every night for the rest of your life" person.

Brad Jennings, DDS, MDS · Answer

More than likely, the orthodontist that said Invisallign won't close your anterior open bite likely does not treat many cases with Invisalign.  Invisalign can fix that in the hands of a skilled orthodontist who has successfully treated many cases (like 250+).  You likely have a tongue thrust too so wearing your retainers when finished will be critical.

What will fix my open bite anterior? Invisalign or Braces? (Photo)

Answers (4)

Answer: Either will work in the right hands

Answer: Either will work in the right hands

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Everything you need to know about Invisalign

Our mission is to create a world where every investment in modern beauty is Worth It.

What will fix my open bite anterior? Invisalign or Braces? (Photo)

Answers (4)

Answer: Either will work in the right hands

Answer: Either will work in the right hands

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Recommended reading

Everything you need to know about Invisalign

Our mission is to create a world where every investment in modern beauty is Worth It.